scholarly journals Life-space assessment and associated clinical factors: SABE Colombia

2021 ◽  
Vol 15 ◽  
Author(s):  
Elly Morros-González ◽  
Isabel Márquez ◽  
José Pablo Prada ◽  
Daniela Patino-Hernandez ◽  
Diego Chavarro-Carvaja ◽  
...  
Keyword(s):  
Older Adults ◽  
Chronic Diseases ◽  
Mental Disease ◽  
Secondary Analysis ◽  
Self Report ◽  
Noncommunicable Diseases ◽  
Therapeutic Approaches ◽  
Life Space ◽  
Limited Life ◽  
Logistic Regressions

OBJECTIVES: Our aim was to assess whether an association exists between chronic diseases or multimorbidity and limited life space in older adults. METHODS: This is a secondary analysis of the SABE (Salud, Bienestar y Envejecimiento) Colombia Study. We assessed chronic diseases through self-report, and a limited life space was defined as any score ≤ 60 in the Life-Space Assessment scale. Multimorbidity was defined as having two or more coexisting diseases. We performed bivariate analyses and multivariate logistic regressions aiming to obtain odds ratios with 95% confidence intervals. RESULTS: The prevalence of limited life space was 2.95% with a mean score of 76.27 ± 19.34. Statistically significant associations were found between limited life space and mental disease (OR 1.45; 95%CI 1.15 – 1.82) and between limited life space and multimorbidity (OR 1.32; 95%CI 1.06 – 1.63). CONCLUSIONS: Mental disease and multimorbidity are associated with limited life space in older adults. Therefore, preventing, diagnosing, and treating mental illness should be sought in addition to the existing preventive and therapeutic approaches available for noncommunicable diseases.

scholarly journals Age, gender, and residence differences in prevalence and patterns of multimorbidity among older Chinese: Evidence from Chinese Longitudinal Healthy Longevity Survey

2022 ◽  
Author(s):  
Siyue Han ◽  
Guangju Mo ◽  
Tianjing Gao ◽  
Qing Sun ◽  
Huaqing Liu ◽  
...  
Keyword(s):  
Older Adults ◽  
Chronic Diseases ◽  
Functional Decline ◽  
Self Report ◽  
Care Utilization ◽  
Rule Mining ◽  
Demographic Differences ◽  
Healthy Longevity ◽  
Older Chinese ◽  
Multimorbid Patients

Abstract Background With the dramatic acceleration of ageing in China, multimorbidity among the older adults has become increasingly common，which are associated with more functional decline and higher health care utilization and mortality. Understanding demographic differences of patterns of multimorbidity is in favor of making targeted intervention strategies. The purpose of this study was to reveal age- specific, gender- specific, and residence- specific prevalence and patterns of multimorbidity among older adults in China. Methods The present analysis is based on the 2018 wave of Chinese Longitudinal Health Longevity Survey (CLHLS). We selected 13 chronic diseases from the CLHLS survey, and information was collected based on self-report. Multimorbidity was defined as the coexistence of two or more chronic diseases from 13 chronic diseases in the same individual. Descriptive statistical analysis was used to examine multimorbidity according to age, sex, and residence. Patterns and trends of chronic disease pairs and multimorbidity were explored using association rule mining. Results 9,660 individuals aged 65-117 years in the CLHLS were analyzed in this study. Overall, 74.4% of all participants had one or more morbidities, and 42.4% were multimorbid. The prevalence of individual chronic diseases ranged from 1.5% for cancer to 41.8% for hypertension, and each disease was often accompanied by one or more other chronic diseases. The prevalence of multimorbidity does not always increase with age. The subgroups with the highest prevalence of multimorbidity was 80-89 years old (48.2%), female (45.0%) and urban (47.2%) group. Prevalence of the hypertension- diabetes pattern decreases with age and is higher in women than in men. The prevalence of hypertension- depression pattern was at the highest among the 90-117 years and rural older adults, while the other groups were hypertension-heart disease. Moreover, it was noteworthy that the multimorbidity rate of dyslipidemia is the highest at 95.5% among the 13 chronic diseases. Conclusions The prevalence of multimorbidity among older Chinese was substantial, and patterns of multimorbidity differed in age, sex, and residence. Future efforts are needed to identify possible prevention strategies and guidelines targeted demographic differences of multimorbid patients to promote health in older adults.

scholarly journals Chronic diseases, multimorbidity, and handgrip strength among older adults from Southern Brazil

2016 ◽  
Vol 29 (1) ◽  
pp. 43-52 ◽  
Author(s):  
Júlia PESSINI ◽  
Aline Rodrigues BARBOSA ◽  
Erasmo Benício Santos de Moraes TRINDADE
Keyword(s):  
Older Adults ◽  
Chronic Diseases ◽  
Handgrip Strength ◽  
Living Arrangement ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Self Report ◽  
Southern Brazil ◽  
Cross Sectional ◽  
Comorbid Chronic Diseases

ABSTRACT Objective: To investigate the association between various chronic diseases, multimorbidity, and handgrip strength in community dwelling older adults in Southern Brazil. Methods: A cross-sectional study carried out with 477 older adults (60 years and older) who resided in Antônio Carlos, Santa Catarina state. Subjects aged 60-79 years were selected by probability sampling (n=343) and all subjects aged 80 years or older (n=134) were evaluated. Chronic diseases were identified by self-report. A mechanical dynamometer verified handgrip strength (i.e., the outcome). Adjustments variables were age, literacy, living arrangement, smoking, body mass index, cognitive function, and comorbid chronic diseases. Sex-stratified analyses were conducted with simple and multiple linear regression. Results: A total of 270 women (73.2±8.8 years) and 207 men (73.3±9.0 years) were assessed. In the adjustment analysis, cancer (β=-3.69; 95%CI=-6.97 to -0.41) and depression (β=-1.65; 95%CI=-3.20 to -0.10) were associated with lower handgrip strength in women. For men, diabetes (β=-5.30; 95%CI=-9.64 to -0.95), chronic lung disease (β=-4.74; 95%CI=-7.98 to -1.50), and coronary heart disease (β=-3.07; 95%CI=-5.98 to -0.16) were associated with lower handgrip strength values. There was an inverse trend between number of diseases and handgrip strength for men only. Conclusion: The results showed an independent association between chronic diseases and handgrip strength. As such, handgrip strength is a valid measure to use for prevention or intervention in chronic disease and multimorbidity.

Relationship Between Life-Space Mobility and Health Characteristics in Older Adults Using Global Positioning System Watches

2021 ◽  
pp. 073346482110548
Author(s):  
Jane Chung ◽  
Joseph Boyle ◽  
David C. Wheeler
Keyword(s):  
Older Adults ◽  
Global Positioning System ◽  
Self Report ◽  
Functional Health ◽  
Movement Speed ◽  
Positioning System ◽  
Life Space ◽  
Total Distance ◽  
Significant Difference ◽  
Global Positioning

This study aimed to examine the feasibility of using global positioning system (GPS) watches to examine relationships between GPS-based life-space mobility (LSM) metrics and self-report LSM and health measures (physical, psychological, and cognitive function) among older adults. Thirty participants wore a Fitbit Surge for 3 days. Eight spatial and temporal LSM measures were derived from GPS data. About 90% of in-home movement speeds were zero, indicating the sedentary lifestyle, but they made some active out-of-home trips as the total distance traveled and size of movement area indicated. There was a significant difference in total distance traveled and 95th percentile of movement speed between mild cognitive and intact cognition groups. GPS-based higher proportion of out-of-home time was significantly associated with greater functional fitness. Greater GPS use hours were significantly associated with higher cognition. These findings suggest the potential of GPS watches to continuously monitor changes in functional health to inform prevention efforts.

scholarly journals Disability incidence and functional decline among older adults with major chronic diseases

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Joelle H. Fong
Keyword(s):  
Older Adults ◽  
Chronic Diseases ◽  
Chronic Care ◽  
Comparison Group ◽  
Oldest Old ◽  
Functional Decline ◽  
Chronically Ill ◽  
Noncommunicable Diseases ◽  
Functional Loss ◽  
Early Loss

Abstract Background More than 80% of elderly Americans have at least one chronic disease. While past studies have shown that hierarchical patterns of functional loss may differ by gender and institutional settings, little is known about whether such patterns differ in relation to chronic health condition. The aim of this study is to investigate the pattern of functional loss among older adults with major chronic illnesses, and to compare their onset and ordering of incident ADL disability with those of persons without such conditions. Methods We use a nationally representative sample of persons aged 80+ from the 1998–2014 Asset and Health Dynamics of the Oldest Old survey. The group with major noncommunicable diseases (including cardiovascular disease, cancer, chronic respiratory disease, and diabetes) comprises 3,514,052 subjects, while the comparison group comprises 1,073,263 subjects. Self-reports of having difficulty with six distinct ADLs are used to estimate disability incidence rate. Nonparametric statistical methods are used to derive median onset ages and ADL loss sequence separately for each group. Results Older adults with major chronic diseases have higher rates of incident disability across all ADL items. Estimated median onset ages of ADL disabilities for the full sample range from 91.5 to 95.6. Disability occurs earlier for chronically ill persons (onset ages 91.1–95.0) than for those in the comparison group (onset ages 93.5–98.1). Among those with major chronic diseases, the ADL loss sequence ordered by median ages of disability onset is bathing, walking, dressing, toileting, transferring and eating. The activities are also distinctly separated into an early-loss cluster and a late-loss cluster. Although the loss sequence derived for the comparison group is largely similar, disability progression for those with major chronic diseases is compressed within a shorter timeframe and the timing gaps between adjacent disabilities are smaller. Conclusions Older Americans with major noncommunicable diseases face an earlier and steeper slope of functional decline. Chronic care delivery programs should adapt to dynamic changes in older patients’ functional status. Health interventions to help patients delay disability onset and optimize functional autonomy within emerging models of chronic care should especially target early-loss activities such as bathing, dressing, and walking.

scholarly journals ASSOCIATION OF RESTRICTED LIFE SPACE MOBILITY WITH COGNITIVE FUNCTION WITHIN OLDER BLACKS AND WHITES WITH DIABETES

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S522-S523
Author(s):  
Olivio J Clay ◽  
Pamela Bowen ◽  
Loretta Lee ◽  
Gina McCaskill ◽  
Olivia Affuso ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Function ◽  
Memory Loss ◽  
Cognitive Status ◽  
Self Report ◽  
Life Space ◽  
Aging Study ◽  
Control And Prevention ◽  
Blacks And Whites ◽  
The Relationship

Abstract The Centers for Disease Control and Prevention have reported that approximately one of every eight older adults self-report experiencing confusion or memory loss that is becoming more frequent or getting worse. Thus, identifying individuals who are at-risk for cognitive problems is essential. The purpose of this investigation was to assess the relationship between life space mobility and cognition within older Blacks and Whites with diabetes. Baseline data from the University of Alabama at Birmingham (UAB) Diabetes and Aging Study of Health (DASH) were utilized. Multiple regression models adjusted for age, education, income, gender, and race were utilized to assess the association between restricted life space (a score of less than 60 on the UAB Life Space Assessment) and cognitive function as assessed by the Telephone Interview for Cognitive Status (TICS-M). The analytic sample consisted of 224 older adults with diabetes (mean age = 73.52) with 54% being female and 53% White. Of the participants, 75 (32%) had a restricted life space and individuals with restricted life space on average had cognition scores that were over 2 points lower than participants categorized as not having restricted life space (B = -0.18, p < .01). Additionally, Black participants had lower levels of cognition when compared to Whites in the covariate-adjusted models (B = -0.23, p < .01). Results of this investigation provide additional evidence to support the relationship between mobility and cognition. Longitudinal investigations assessing the association between mobility and cognition within older adults with diabetes are needed.

scholarly journals Access to continued-use medication among older adults, Brazil

2015 ◽  
Vol 49 (0) ◽  
Author(s):  
Karynna Pimentel Viana ◽  
Alexandre dos Santos Brito ◽  
Claudia Soares Rodrigues ◽  
Ronir Raggio Luiz
Keyword(s):  
Older Adults ◽  
Chronic Diseases ◽  
Prescription Drugs ◽  
Public Health System ◽  
Descriptive Analysis ◽  
Lower Income ◽  
The Public ◽  
Increased Risk ◽  
Logistic Regressions ◽  
Continued Use

OBJECTIVE To determine the prevalence and associated access factors for all continued-use prescription drugs and the ways in which they can be obtained.METHODS Data was obtained from the 2008 Household National Survey. The sample comprised 27,333 individuals above 60 years who reported that they used continued-use prescription drugs. A descriptive analysis and binary and multiple multinomial logistic regressions were performed.RESULTS 86.0% of the older adults had access to all the medication they needed, and among them, 50.7% purchased said medication. Those who obtained medication from the public health system were younger (60-64 years), did not have health insurance plans, and belonged to the lower income groups. It is remarkable that 14.0% of the subjects still had no access to any continued-use medication, and for those with more than four chronic diseases, this amount reached 22.0%. Those with a greater number of chronic diseases ran a higher risk of not having access to all the medication they needed.CONCLUSIONS There are some groups of older adults with an increased risk of not obtaining all the medication they need and of purchasing it. The results of this study are expected to contribute to guide programs and plans for access to medication in Brazil.

scholarly journals Comparing GPS-Based Community Mobility Measures with Self-report Assessments in Older Adults with Parkinson’s Disease

2020 ◽  
Vol 75 (12) ◽  
pp. 2361-2370 ◽  
Author(s):  
Lynn Zhu ◽  
Christian Duval ◽  
Patrick Boissy ◽  
Manuel Montero-Odasso ◽  
Guangyong Zou ◽  
...  
Keyword(s):  
Older Adults ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Convergent Validity ◽  
Intraclass Correlation ◽  
Self Report ◽  
Measurement Unit ◽  
Life Space ◽  
Community Mobility ◽  
Trip Frequency

Abstract Background Real-life community mobility (CM) measures for older adults, especially those with Parkinson’s disease (PD), are important tools when helping individuals maintain optimal function and quality of life. This is one of the first studies to compare an objective global positioning system (GPS) sensor and subjective self-report CM measures in an older clinical population. Methods Over 14 days, 54 people in Ontario, Canada with early to mid-stage PD (mean age = 67.5 ± 6.3 years; 47 men; 46 retired) wore a wireless inertial measurement unit with GPS (WIMU-GPS), and completed the Life Space Assessment and mobility diaries. We assessed the convergent validity, reliability and agreement on mobility outcomes using Spearman’s correlation, intraclass correlation coefficient, and Bland-Altman analyses, respectively. Results Convergent validity was attained by the WIMU-GPS for trip frequency (rs = .69, 95% confidence interval [CI] = 0.52–0.81) and duration outside (rs = .43, 95% CI = 0.18–0.62), but not for life space size (rs = .39, 95% CI = 0.14–0.60). The Life Space Assessment exhibited floor and ceiling effects. Moderate agreements were observed between WIMU-GPS and diary for trip frequency and duration (intraclass correlation coefficients = 0.71, 95% CI = 0.51–0.82; 0.67, 95% CI = 0.42–0.82, respectively). Disagreement was more common among nonretired individuals. Conclusions WIMU-GPS could replace diaries for trip frequency and duration assessments in older adults with PD. Both assessments are best used for retired persons. However, the Life Space Assessment may not reflect actual mobility.

scholarly journals Self-Report Hearing and Injury or Falls in Older Adults from the National Health and Information Survey

2021 ◽  
Vol 42 (01) ◽  
pp. 066-074
Author(s):  
Danielle S. Powell ◽  
Emmanuel E. Garcia Morales ◽  
Sasha Pletnikova ◽  
Jennifer A. Deal ◽  
Nicholas S. Reed
Keyword(s):  
Older Adults ◽  
National Health ◽  
Secondary Analysis ◽  
Self Report ◽  
Cross Sectional ◽  
Representative Study ◽  
Hearing Aid Use ◽  
Prevention Studies ◽  
History Of ◽  
Nationally Representative

AbstractThis article aims to investigate the association between hearing and nonfatal injury or falls in a nationally representative sample of adults from the National Health Interview Survey (NHIS) utilizing over 20 years of participant surveys. We conducted a pooled cross-sectional analysis of participant surveys (aged 50 years and older) from 1997 to 2017. Self-report hearing difficulty, history of injury over the last 3 months, reported injury from fall over the last 3 months, and reported reason for fall (including due to balance/dizziness) were collected. Using logistic regression, we investigated the odds of injury, injury from fall, and fall due to balance/dizziness by self-report hearing status. In secondary analysis, we investigated the odds of each outcome by reported hearing aid use. Models were adjusted for demographics, year of study, vision difficulty, diabetes, employment, and cardiovascular disease. Reported moderate or greater difficulty hearing demonstrated a significantly greater odds of injury (odds ratio [OR]: 1.29; 95% confidence interval [CI]: 1.18, 1.42) or fall due to balance/dizziness (OR: 1.26; 95% CI: 1.00, 1.60) compared with reported excellent/good hearing. A dose–response association was seen across levels of reported difficulty hearing for all outcomes. In this nationally representative study of adults aged 50 years and older, greater reported difficulty hearing was significantly associated with increased odds of injury and suggests greater odds of falls or fall due to balance/dizziness compared with reported good hearing. Results suggest hearing loss should be considered as a possible risk factor for both injury and fall prevention studies and programming in older adults.

scholarly journals Early Retirement and Sensory Impairments: The Modifying Effect of Total Assets

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 443-443
Author(s):  
Emmanuel Garcia Morales ◽  
Nicholas Reed
Keyword(s):  
Older Adults ◽  
Early Retirement ◽  
Secondary Analysis ◽  
Self Report ◽  
Sensory Impairment ◽  
Logistic Regression Models ◽  
Sensory Impairments ◽  
Secondary Analyses ◽  
Modifying Effect ◽  
Retirement Study

Abstract Sensory impairments are common among older adults. Little is known on the association between sensory impairments, which impact labor productivity, and the effect modification of wealth. We used the 2006-2018 rounds of the Health and Retirement Study. Hearing (HI) and vision (VI) impairments (self-report) at baseline, and working status throughout the study period was observed. Logistic regression models, adjusted for demographic, socioeconomic, and health characteristics, were used to characterize the association of sensory impairment and early retirement (i.e., before age 65). Secondary analysis stratified by assets. Among 1,688 adults ages 53-64, 1,350 had no impairment, 140 had HI only, 141 VI only, and 57 had dual sensory impairment (DSI). Only adults with HI had higher odds of early retirement (Odds Ratio [OR]: 1.6; 95% Confidence Interval [CI]: 1.0,2.5) relative to those without sensory impairment. Among those with large assets, those with HI had higher odds (OR:2.6, 95% CI: 1.4,5.2) and those with VI had lower odds (OR. 0.37; 95% CI: 0.2,0.8) of early retirement. Among the low asset group, we found no differences across impairment groups for the odds of retirement. In sample of older adults, we provide evidence that the presence of hearing impairment is associated early retirement. Secondary analyses suggest wealth may modify this association which highlights the wealth disparities faced by people with sensory impairments.

scholarly journals Pathological Traits and Interpersonal Difficulties in Depressed Older Adults: Clinical versus Community Sampling

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 898-898
Author(s):  
George Lederer ◽  
David Freedman ◽  
Lauren Atlas ◽  
Shira Kafker ◽  
Ira Yenko ◽  
...  
Keyword(s):  
Older Adults ◽  
Personality Traits ◽  
Factor Model ◽  
Five Factor Model ◽  
Secondary Analysis ◽  
Interpersonal Problems ◽  
Self Report ◽  
Clinical Settings ◽  
Inventory Of Interpersonal Problems ◽  
Personality Traits And Processes

Abstract Personality pathology, represented by high neuroticism and low agreeableness in the Five Factor Model of Personality, has been identified as a predictor of depression in mixed-age samples and preliminary studies of older adults. Research on older people, however, has not examined the differential impact of pathological personality traits and processes on depression or examined them across treatment settings. This secondary analysis examined personality traits and processes as predictors of depression, evaluated the moderating effect of interpersonal problems, and assessed stratification of these personality variables across community and clinical settings. Older adults (N=395) ranging in age from 55 to 99 (M = 72.06; SD = 10.10) from inpatient psychiatric, outpatient medical, and community settings completed self-report measures of personality traits (NEO-FFI Agreeableness and Neuroticism), processes (Inventory of Interpersonal Problems), and depression (GDS-30). Higher neuroticism predicted worsened depressive symptoms (β = .765, p < .001), as did lower agreeableness (β = -.163, p = .002) and more interpersonal problems (β = .459, p < .001). Findings partially supported the stratification of personality traits and processes by setting. Interpersonal problems moderated neither the neuroticism-depression or agreeableness-depression relationships. Personality traits and processes predict depression in older adults across care settings but do not significantly interact. Levels of pathological traits and processes vary across community and clinical settings.

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